MR. JAMES ANDREW CLARK (PA-C) – Physician Assistant, NPI 1861798316
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MR. JAMES ANDREW CLARK (PA-C)
12201 RENFERT WAY
SUITE 100
AUSTIN, TX 787585354
Phone: (512) 454-0341
Fax: (512) 454-9915
Type: Mailing
12309 N MOPAC EXPY STE 100
AUSTIN, TX 787582604
Phone: (512) 339-4040
Fax: (512) 339-1663
Type: Mailing
4 Lakeway Centre Ct Unit B
Lakeway, TX 787342757
Phone: (512) 682-4798
Fax: (512) 339-1663
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $1,107.
Total Amount is formed as General ($1,107) + Research ($0) + Ownership ($0) = $1,107.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: GENZYME CORPORATION ($510).
Total Amount
$1,107
General + Research + Ownership
Payments
33
Total payment records
General Amount
$1,107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-06-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110601000116 | I | Physician Assistant | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 283 | 219 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 216 | 153 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 199 | 145 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 117 | 117 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 94 | 94 | $0 |
Insurance plans in this area (ZIP 78758)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | AR | |
| Qualified Audiologist | TX | |
| Qualified Audiologist | IL | |
| O T O L A R Y N G O L O G Y | TX | |
| Physician Assistant | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| O T O L A R Y N G O L O G Y | TX |
Reviews
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